Organization
MAGNOLIA CANAL WINCHESTER LLC
Active
Other names
Magnolia Dental Canal Winchester
Organization subpart
No
Provider details
NPI number
Authorized official
MEGHAN KOENEMAN (DIRECTOR OF REVENUE CYCLE MANAGEMEN)
(380) 203-3592
Entity
Organization
Contact information
Practice address
6160 GENDER RD, CANAL WINCHESTER, OH 43110-2054
(614) 591-3522
Mailing address
6160 GENDER RD, CANAL WINCHESTER, OH 43110-2054
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
08/26/2020
Last updated
10/21/2025
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